One of the key components to making sure that there’s enough money and health care available for all of us living in the United States is plan, plan, plan. If experts were just to estimate what the population will be in a particular year (and much of it has to be some speculation) or if age and gender breakdown weren’t taken into consideration, health care providers would find themselves with a huge demographic portion needing care and with no money available to serve them with. Luckily for all of us, the National Health Care Expenditure Accounts Projections Team (NHCEAPT) is all over this type of things, and they have identified a trend that all of us, from young to old, should be aware of. Here is what we can expect to see through the year 2017 (doesn’t that year just sound so scifi?) and some suggestions on how we can be prepared for it.

Get Ready Medicare: Here Come the Baby Boomers

Baby boomers are little kids rocking out and bopping around to some music on the stereo. A “baby boomer,” a term created by the U.S. Census Bureau, is used to describe anyone born right after World War II, when everyone was so happy to see one another return home safely that all they did was sit around and make babies. The decade is usually considered between the years of 1945-1955. My parents? Proud baby boomers. And soon enough, people like my folks are going to be needing to access public programs like Medicare. According to the folks with the NHCEAPT, the outlook for national spending in the next eight years calls for steady growth. Spending growth is projected to be 6.7 percent in 2007, similar to its rate in 2006. Average annual growth over the projection period is expected to be 6.7 percent.

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The term “Medicaid issues” is rather vague, and you can let your fingers do the walking online if you are wanting to learn more about Medicaid plans. Medicare Advantage, however, is more specific. These are health insurance plans that are a part of the Medicare program, and they include things like:

• Medicare Health Maintenance Organization (HMOs)
• Preferred Provider Organizations (PPO)
• Private Fee-for-Service Plans
• Medicare Special Needs Plans

The interesting thing is that these plans do exist and are available under Medicare, so it is only my educated guess that Health Net was lobbying to reduce restrictions here as well, possibly opening the doors to more potential members and not barring people for health issues.

Considering that Medicare is intended to provide health care to our elderly population, trying to keep people from getting health coverage based on preexisting medical conditions is pretty absurd. You show me one 75 year old who has made it that far in life without bringing any medical baggage along with them and I’ll buy you a cookie.

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There are some health insurance companies where you feel like you are being taken advantage of at every single turn. Hidden charges show up on bills, you don’t have an easy time getting in to see your doctor, and you may spend upward of an hour trying to get the right person on the phone for customer service. This is not to say that health insurance companies exist simply to frustrate you: quite the opposite. Sometimes they just do not seem like they are doing all they can to best serve your interests as a consumer or customer. Health Net, one of America’s biggest health insurance companies serving over 6.7 million people across the country, has recently stepped up to the plate big time in the game of keeping people’s best interests (and health) at heart. In the third quarter of 2008, the insurer spent $670K lobbying with the federal government for a variety of different groups and lifting coverage restrictions.

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